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Wisconsin rates for HCPCS 43113

Tot Esophg W/Thorcom W/Colon Ntrpstj/Int Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,477.05 / $8,291.56 / $14,777.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,911.89 / $4,477.05 / $8,291.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,538.00 / $10,908.00 / $18,360.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,070.12 / $9,183.68 / $23,721.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,344.86 / $12,088.78 / $18,544.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,696.63 / $13,774.05 / $16,619.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.79 / $4,645.70 / $8,016.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,065.65 / $4,810.00 / $9,048.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,055.23 / $9,351.36 / $30,776.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.10 / $2,860.80 / $8,762.77
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,527.79 / $4,645.70 / $8,016.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,695.00 / $10,262.57 / $16,813.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,904.50 / $78,496.32 / $78,496.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,248.41 / $20,276.15 / $30,776.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,957.82 / $14,957.82 / $14,957.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,520.30 / $20,292.91 / $20,292.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,091.06 / $8,509.09 / $18,512.12